Traumatic Brain Injury in the United States:
A Report to Congress
Prepared by Division of Acute Care, Rehabilitation Research,
and Disability Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
U.S. Department of Health and Human Services
December 1999
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Authors and Contributors
National Center for Injury Prevention and Control
David J. Thurman
Clinton Alverson
Doug Browne
Kathleen A. Dunn
Janet Guerrero
Renee Johnson
Valerie Johnson
Jean Langlois
Diane Pilkey
Joseph E. Sniezek
Susan Toal, Contractor
State Brain Injury Surveillance Programs
Pam Gosler, Arizona Department of Health
Barbara Gabella and Richard Hoffman, Colorado Department of Public Health and Environment
Gail Whiteneck, Craig Hospital, Denver, Colorado
Mark Kinde and Jon Roesler, Minnesota Department of Health
Garland Land and Mark van Tuinen, Missouri Department of Health
Loretta Santilli, Kathleen Thoburn, and Gerald Feck, New York State Department of Health
Pam Archer, Michael Crutcher, and Sue Mallonee, Oklahoma State Department of Health
Ernest McCutcheon and Anbesaw Selassie, University of South Carolina School of Medicine
Leroy Frazier, South Carolina Department of Health
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Contents
Executive Summary
Introduction
Public Health Significance of Traumatic Brain Injury
What the Traumatic Brain Injury Act of 1996 Mandates
CDC's Traumatic Brain Injury Surveillance Program, 1989-1998
Current Data on Traumatic Brain Injury Mortality and Morbidity
Deaths Nationwide, 1980-1994
Fatal and Nonfatal Injuries in Seven States, 1994
CDC Estimates of Traumatic Brain Injury-Related Disability
Prevalence
Incidence
Public Health Goals
Primary Prevention
Acute Care and Rehabilitation
Improved Data Systems
References
Appendix: Methods Used to Produce Estimates for This Report
CDC Case Definition for Traumatic Brain Injury
Surveillance Methods Used by States
Appendix References
